1. Bringing Technology to the Rural Hospital Rural Telecon ‘07 October 17, 2007

2. Rural Hospital in 1999 Information technology had arrived in other industries and larger hospitals Small rural hospitals had only financial systems – some considering patient records Few computers; limited internet access

3. Critical Access Hospital Program Illinois Department of Public Health – Center for Rural Health – vision to provide funds for telehealth equipment and access to broadband Each new CAH received a grant for video equipment and access to broadband Hired a technology coordinator for this project

4. CAH Telehealth Services Technical Assistance Video equipment – network can connect up to 4 sites (meetings and education) Internet/broadband access – increase technology and start at PACS

5. Support of SIU School of Medicine Telehealth Education and Training as to how to use video conferencing Broadband support – started with 6 and now can access up to 14 sites interactively Grand Rounds Saved CAHs travel time and money as well as expanded opportunities

6. ICAHN Focus on HIT Top Priority for critical access hospitals Video equipment and access for all members Increase awareness and provide information to members on best practices/equipment Continue to provide HIT technical assistance expertise Member survey HIT Workgroup

7. CAH Priority 2005 Electronic Health Record PACS Decision-making Programs E-Prescribing On-line Registration CPOE

8. ICAHN Member Survey 2006 All – Broadband access All – Financial systems (HIS) 95% - Video conferencing equipment 50% – Department programs 33% – PACS (Picture Archiving Computer Systems) 20% - Initiating Electronic Record 0% - Full integration

9. ICAHN – HIT Activities 2006 Summit – brought groups together and determined like systems Vendor Workshop 12/2006 HIT User Group Technology Support Video conferencing programs Grants ICAHN HIT Workgroup

10. ICAHN Continue Focus Eliminate the “digital divide” for the small rural hospital (CAH) Education and training Grants Resources – technical expertise Member participation – meetings to share information, concerns, ideas, success stories Future projects…2007 fall meeting, pharmacy project, PHIN

11. Rural Hospitals Today Resources – Cost is tremendous Difficulty of duplication as we transition Multiple systems – how to connect Trained and available staff Good programs Public awareness ICAHN goal – continue to support our rural hospitals for connectivity

12. Pharmacy Night Service Beta Project Pharmacy User Group & HIT Workgroup Premise: to provide cost effective remote pharmacy approval of new orders using a single product capable of running multiple institutions and multiple formularies in a federated database. This solution would allow a single pharmacist to service multiple CAH concurrently.

13. Pharmacy Night Service Beta Project New orders would be scanned and uploaded thru a gateway to a facility specific folder Pharmacist on call would be notified Pharmacist would review order utilizing beta software Pharmacist would approve the order and notify CAH electronically or by label print.

14. Pharmacy Night Service Beta Project Scalability Interfaces with hospital information system for demographic data Interfaces with hospital pharmacy system for patient profiles Interfaces with hospital information system for charge passing.

15. Health Information Technology Network Implementation Grant 2007 Awarded $1.6M by the U.S. Department of Health and Human Services, Health Resources and Services Administration to the Illinois Department of Public Health. IDPH has contracted with the Illinois Critical Access Hospital Network to oversee the project.

16. Health Information Technology Network Implementation Grant 2007 Formation of PHIN: Patient Health Information Network IDPH ICAHN Washington County Hospital Salem Township Hospital SSM St. Mary’s/Good Samaritan

17. Health Information Technology Network Implementation Grant 2007 Phase I: Implement EHR solution in two CAH communities Phase II: Add a community component enabling additional health care providers to appropriately share information

18. Health Information Technology Network Implementation Grant 2007 Ultimate purpose of the project: Outcomes Improved documentation of care More timely communication of clinical information and prevention of duplicative services Error reduction and quality enhancement through the use of evidence-based clinical decision support software Improve protection of health care information through digital security and access authorization mechanisms Improve data collection to support more rapid disease surveillance and public health response

19. ICAHN HIT SUMMIT- NOV 13, 2007 Ensuring Privacy & Security of Electronic Patient Information Personal Health Record Software Demonstration National E-Rx Patient Safety Initiative Software Demonstration Planning for Disaster Recovery & Business Continuity in our CAH

20. Bringing Technology to the Rural Hospital Rural Telecon ‘07 October 17, 2007 Kim Larkin, CIO Washington County Hospital 618-327-2203 klarkin@washingtoncountyhospital.org Pat Schou, Executive Director ICAHN 815-875-2999 pschou@icahn.org